Evidence map›Paper›PMID 36573724›Full record

ReviewJournal of personalized medicine2022

The Use of Iloprost in the Treatment of Bone Marrow Edema Syndrome of the Proximal Femur: A Review and Meta-Analysis.

Timo Zippelius, Patrick Strube, Sebastian Rohe, Peter Schlattmann, Oliver Dobrindt, Thomas Caffard, Hassan Awan Malik, Chris Lindemann, Georg Matziolis, Sabrina Böhle

Open access · goldAbstract readReview
In one paragraph

Review in Journal of personalized medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Timo ZippeliusDepartment of Orthopedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081 Ulm, Germany.
Patrick StrubeOrthopedic Department, Jena University Hospital, Campus Eisenberg, 07607 Eisenberg, Germany.
Sebastian RoheOrthopedic Department, Jena University Hospital, Campus Eisenberg, 07607 Eisenberg, Germany.
Peter SchlattmannInstitute of Medical Statistics, Computer Sciences and Documentation, Jena University Hospital, 07743 Jena, Germany.
Oliver DobrindtDepartment of Orthopedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081 Ulm, Germany.
Thomas CaffardDepartment of Orthopedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081 Ulm, Germany.ORCID 0000-0001-9468-2089
Hassan Awan MalikDepartment of Orthopedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081 Ulm, Germany.
Chris LindemannOrthopedic Department, Jena University Hospital, Campus Eisenberg, 07607 Eisenberg, Germany.
Georg MatziolisOrthopedic Department, Jena University Hospital, Campus Eisenberg, 07607 Eisenberg, Germany.
Sabrina BöhleOrthopedic Department, Jena University Hospital, Campus Eisenberg, 07607 Eisenberg, Germany.ORCID 0000-0002-6976-8953
Jena University Hospital · DEUniversität Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The aim of this meta-analysis was to investigate the impact of intravenous iloprost therapy on pain, function, edema changes, and follow-up surgery in bone marrow edema syndrome of the proximal femur. Methods: A systematic literature search up to May 2022 was performed to find relevant papers that made a statement about the outcome of intravenous iloprost therapy alone. Factors such as the Visual Analog Scale (VAS), Harris Hip Score (HHS), edema reduction, and follow-up interventions were considered. These were compared using Forest plots. Results: In 11 studies, 190 proximal femora with bone marrow edema syndrome that received intravenous iloprost therapy without further therapeutic intravenous or surgical intervention such as core decompression were studied. There was a significant mean improvement in VAS by 3.3 cm (2.07−4.5 cm) (p < 0.001) and HHS by 24.36 points (18.23−30.49) (p < 0.001) 3−6 months after receiving iloprost therapy. Only in 9.3% of cases (1.1−24.3%) did no clinical or radiological improvement occur. Conclusions: It could be shown that the existing publications support intravenous therapy with iloprost in patients with bone marrow edema syndrome and result in good clinical outcomes.

Indexed as

bone marrow edema syndromefemoral head necrosisilomediniloprostmeta-analysisosteonecrosisprostaglandinreview

Identifiers

PMID36573724
PMCPMC9695808
OpenAlexW4307262498

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.